Eddie Ray Knuckles

NPI #1003503723 in Eastpointe, Michigan

Provider Information

NPI Number: 1003503723
Entity Type: Individual
Name: Eddie Ray Knuckles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 21, 2023
Last Updated: Apr 21, 2023

Practice Location

Address: 17650 E 9 MILE RD
City: Eastpointe
State: Michigan
ZIP Code: 48021-2564
Phone: (586) 218-8570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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